NU272 HESI Practice Exam Test Questions and Answers Graded A+
A male client with chronic atrial fibrillation and a -
slow ventricular response is scheduled for
surgical placement of a permanent pacemaker. The prostate is not easily penetrated by
The client asks the nurse how this device will antibiotics and can serve as a reservoir for
help him. How should the nurse explain the microorganisms, which can infect other areas of
action of a synchronous pacemaker? - the genitourinary tract. Draining the prostate
ANSWER -An electrical stimulus is regularly through intercourse or masturbation
discharged when no ventricular response is decreases the number of microorganisms
sensed. present and reduces the risk for further infection
- from stored contaminated seminal fluids.
The artificial cardiac pacemaker is an electronic
device used to pace the heart when the normal
conduction pathway is damaged or diseased, Which action should the nurse implement on the
such as a symptomatic dysrhythmias like atrial scheduled day of surgery for a client with type 1
fibrillation with a slow ventricular response. diabetes mellitus (DM)? - ANSWER -Obtain
Pacing modes that are synchronous (impulse a prescription for an adjusted dose of insulin.
generated on demand or as needed according to -
the patient's intrinsic rhythm) send an electrical Stressors, such as surgery, increase serum
signal from the pacemaker to the wall of the glucose levels. A client with type 1 DM who is
myocardium stimulating it to contract when no NPO for scheduled surgery should receive a
ventricular depolarization is sensed. prescribed adjusted dose of insulin.
The nurse is caring for a client with end stage A client with osteoarthritis receives a prescription
liver disease who is being assessed for the for Naproxen (Naprosyn). Which potential side
presence of asterixis. To assess the client for effect should the nurse provide to the client about
asterixis, what position should the nurse ask the this medication? - ANSWER -
client to demonstrate? - ANSWER -Extend Gastrointestinal disturbance.
the arm, dorsiflex the wrist, and extend the -
fingers. Prostaglandin synthesis inhibitors such as
- naproxen can have gastrointestinal side effects
Asterixis (flapping tremor, liver flap) is a hand- such as nausea and gastric burning. It is
flapping tremor that is often seen frequently in recommended that this drug be taken with food to
hepatic encephalopathy. The tremor is induced avoid gastrointestinal upset.
by extending the arm and dorsiflexing the wrist
causing rapid, non-rhythmic extension and
flexion of the wrist while attempting to hold The nurse is caring for a male client who had an
position. inguinal herniorrhaphy 3 hours ago. The nurse
determines the client's lower abdomen is
distended and assesses dullness to percussion.
The nurse is giving discharge instructions to a What is the priority nursing action? -
client with chronic prostatitis. What instruction ANSWER -Determine the time the client
should the nurse provide the client to reduce the last voided.
risk of spreading the infection to other areas of -
the client's urinary tract? - ANSWER -Have
intercourse or masturbate at least twice a week. Swelling at the surgical site in the immediate
,NU272 HESI Practice Exam Test Questions and Answers Graded A+
postoperative period can impact the bladder and successfully responding to bronchodilators and
prostate area causing the client to experience respiratory treatments, wheezing should become
difficulty voiding due to pressure on the urethra. louder as the air flow increases in the airways. As
To provide additional data supporting bladder the airways open and mucous is mobilized in
distention, the last time the client voided should response to treatment, the cough should become
be determined next. more productive.
When teaching a client with breast cancer about The nurse is caring for a client with human
the prescribed radiation therapy for treatment, immunodeficiency virus (HIV) infection who
what information is important to include? - develops Mycobacterium avium complex (MAC).
ANSWER -Dry, itchy skin changes may What is the most significant desired outcome for
occur. this client? - ANSWER -Return to pre-
- illness weight.
-
Side effects from radiation to the breast most
often include temporary skin changes such as: MAC is an opportunistic infection that presents as
dryness, tenderness, redness, swelling, and a tuberculosis-like pulmonary process. MAC is a
pruritis. major contributing factor to the development of
wasting syndrome, so the most significant
desired outcome is the client's return to a pre-
Which finding should the nurse identify as an illness weight using oral, enteral, or parenteral
indication of carbon monoxide poisoning in a supplementation as needed.
client who experienced a burn injury during a
house fire? - ANSWER -Cherry red color to
the mucous membranes. The nurse obtains a client's history that includes
- right mastectomy and radiation therapy for
cancer of the breast 10 years ago. Which current
The saturation of hemoglobin molecules with health problem should the nurse consider is a
carbon monoxide molecules, instead of oxygen consequence of the radiation therapy? -
molecules and the subsequent vasodilation ANSWER -Pathologic fracture of two ribs
induced cherry red color of the mucous on the right chest.
membranes is an indication of carbon monoxide -
poisoning.
The ribs lie in the radiation pathway and lose
density over time, becoming thin and brittle, so
What assessment finding should the nurse the occurence of two right-sided ribs with
identify that indicates a client with an acute pathological fractures resulting without evidence
asthma exacerbation is beginning to improve of trauma is related to radiation damage.
after treatment? - ANSWER -Wheezing
becomes louder.
- A client is admitted to the emergency department
after being lost for four days while hiking in a
In an acute asthma attack, air flow may be so national forest. Upon review of the laboratory
significantly restricted that breath sounds and results, the nurse determines the client's serum
wheezing is diminished. If the client is level for thyroid-stimulating hormone (TSH) is
, NU272 HESI Practice Exam Test Questions and Answers Graded A+
elevated. Which additional assessment should gastric wall. A PEG tube is more commonly used
the nurse make? - ANSWER -Exposure to due to the fact it does not require general
cold environmental temperatures. anesthesia and less invasive due to being
- inserted with endoscopic visualization through
the esophagus into the stomach and then pulled
TSH influences the amount of thyroxine secretion through a small incision in the abdominal wall
which increases the rate of metabolism to and held in place by a tiny plastic device called a
maintain body temperature near normal. "bumper" that holds the g-tube in place inside the
Prolonged exposure to cold environmental stomach and a small water-filled balloon which
temperatures stimulates the hypothalamus to keeps the stomach in place against the
secrete thyrotropin-releasing hormone, which abdominal wall.
increases anterior pituitary serum release of
TSH.
Which sexually transmitted infection (STI) should
the nurse include in a client's teaching plan about
An older female client is admitted with atrophic the risk for cervical cancer? - ANSWER -
vaginitis and perineal cutaneous candidiasis. Human papillomavirus.
What is the priority nursing diagnosis for this -
client? - ANSWER -Impaired comfort. According to the CDC (2017), it is estimated at
- least 80% of all women who are sexually active
will contract the Human papillomavirus (HPV) in
In menopausal women, the vaginal mucous their lifetime. Certain types of HPV have been
membrane responds to low estrogen levels suspected to cause cervical cancer and HPV
causing the vaginal walls to become thinner, strain 16 and 18 have been identified to cause
drier, and susceptible to infection which leads to 70% of cervical cancers.
atrophic vaginitis. Perineal cutaneous candidiasis
contributes to other manifestations of vaginal
infections, such as vaginal irritation, burning, The home health nurse is assessing a client with
pruritus, increased leukorrhea, bleeding, and terminal lung cancer who is receiving hospice
dyspareunia, which supports the primary nursing care. Which activity should be assigned to the
diagnosis, "Impaired comfort". hospice practical nurse (PN)? - ANSWER -
Administer medications for pain relief, shortness
of breath, and nausea.
The nurse is caring for a client scheduled to -
undergo insertion of a percutaneous endoscopic
gastrostomy (PEG) tube. The client asks the Hospice care provides symptom management
nurse to explain how a PEG tube differs from a and pain control during the dying process and
gastrostomy tube (GT). Which explanation best enhances the quality of life for a client who is
describes how they are different? - terminally ill. Administering medication and
ANSWER -Method of insertion. monitoring for therapeutic and adverse effects is
- within the scope of practice for the PN.
The best explanation of how a PEG tube differs
from a GT is by the method of insertion. GT The nurse is assessing a client with a chest tube
insertion involves making an incision in the wall that is attached to suction and a closed drainage
of the abdomen and suturing the tube to the system. Which finding is most important for the
A male client with chronic atrial fibrillation and a -
slow ventricular response is scheduled for
surgical placement of a permanent pacemaker. The prostate is not easily penetrated by
The client asks the nurse how this device will antibiotics and can serve as a reservoir for
help him. How should the nurse explain the microorganisms, which can infect other areas of
action of a synchronous pacemaker? - the genitourinary tract. Draining the prostate
ANSWER -An electrical stimulus is regularly through intercourse or masturbation
discharged when no ventricular response is decreases the number of microorganisms
sensed. present and reduces the risk for further infection
- from stored contaminated seminal fluids.
The artificial cardiac pacemaker is an electronic
device used to pace the heart when the normal
conduction pathway is damaged or diseased, Which action should the nurse implement on the
such as a symptomatic dysrhythmias like atrial scheduled day of surgery for a client with type 1
fibrillation with a slow ventricular response. diabetes mellitus (DM)? - ANSWER -Obtain
Pacing modes that are synchronous (impulse a prescription for an adjusted dose of insulin.
generated on demand or as needed according to -
the patient's intrinsic rhythm) send an electrical Stressors, such as surgery, increase serum
signal from the pacemaker to the wall of the glucose levels. A client with type 1 DM who is
myocardium stimulating it to contract when no NPO for scheduled surgery should receive a
ventricular depolarization is sensed. prescribed adjusted dose of insulin.
The nurse is caring for a client with end stage A client with osteoarthritis receives a prescription
liver disease who is being assessed for the for Naproxen (Naprosyn). Which potential side
presence of asterixis. To assess the client for effect should the nurse provide to the client about
asterixis, what position should the nurse ask the this medication? - ANSWER -
client to demonstrate? - ANSWER -Extend Gastrointestinal disturbance.
the arm, dorsiflex the wrist, and extend the -
fingers. Prostaglandin synthesis inhibitors such as
- naproxen can have gastrointestinal side effects
Asterixis (flapping tremor, liver flap) is a hand- such as nausea and gastric burning. It is
flapping tremor that is often seen frequently in recommended that this drug be taken with food to
hepatic encephalopathy. The tremor is induced avoid gastrointestinal upset.
by extending the arm and dorsiflexing the wrist
causing rapid, non-rhythmic extension and
flexion of the wrist while attempting to hold The nurse is caring for a male client who had an
position. inguinal herniorrhaphy 3 hours ago. The nurse
determines the client's lower abdomen is
distended and assesses dullness to percussion.
The nurse is giving discharge instructions to a What is the priority nursing action? -
client with chronic prostatitis. What instruction ANSWER -Determine the time the client
should the nurse provide the client to reduce the last voided.
risk of spreading the infection to other areas of -
the client's urinary tract? - ANSWER -Have
intercourse or masturbate at least twice a week. Swelling at the surgical site in the immediate
,NU272 HESI Practice Exam Test Questions and Answers Graded A+
postoperative period can impact the bladder and successfully responding to bronchodilators and
prostate area causing the client to experience respiratory treatments, wheezing should become
difficulty voiding due to pressure on the urethra. louder as the air flow increases in the airways. As
To provide additional data supporting bladder the airways open and mucous is mobilized in
distention, the last time the client voided should response to treatment, the cough should become
be determined next. more productive.
When teaching a client with breast cancer about The nurse is caring for a client with human
the prescribed radiation therapy for treatment, immunodeficiency virus (HIV) infection who
what information is important to include? - develops Mycobacterium avium complex (MAC).
ANSWER -Dry, itchy skin changes may What is the most significant desired outcome for
occur. this client? - ANSWER -Return to pre-
- illness weight.
-
Side effects from radiation to the breast most
often include temporary skin changes such as: MAC is an opportunistic infection that presents as
dryness, tenderness, redness, swelling, and a tuberculosis-like pulmonary process. MAC is a
pruritis. major contributing factor to the development of
wasting syndrome, so the most significant
desired outcome is the client's return to a pre-
Which finding should the nurse identify as an illness weight using oral, enteral, or parenteral
indication of carbon monoxide poisoning in a supplementation as needed.
client who experienced a burn injury during a
house fire? - ANSWER -Cherry red color to
the mucous membranes. The nurse obtains a client's history that includes
- right mastectomy and radiation therapy for
cancer of the breast 10 years ago. Which current
The saturation of hemoglobin molecules with health problem should the nurse consider is a
carbon monoxide molecules, instead of oxygen consequence of the radiation therapy? -
molecules and the subsequent vasodilation ANSWER -Pathologic fracture of two ribs
induced cherry red color of the mucous on the right chest.
membranes is an indication of carbon monoxide -
poisoning.
The ribs lie in the radiation pathway and lose
density over time, becoming thin and brittle, so
What assessment finding should the nurse the occurence of two right-sided ribs with
identify that indicates a client with an acute pathological fractures resulting without evidence
asthma exacerbation is beginning to improve of trauma is related to radiation damage.
after treatment? - ANSWER -Wheezing
becomes louder.
- A client is admitted to the emergency department
after being lost for four days while hiking in a
In an acute asthma attack, air flow may be so national forest. Upon review of the laboratory
significantly restricted that breath sounds and results, the nurse determines the client's serum
wheezing is diminished. If the client is level for thyroid-stimulating hormone (TSH) is
, NU272 HESI Practice Exam Test Questions and Answers Graded A+
elevated. Which additional assessment should gastric wall. A PEG tube is more commonly used
the nurse make? - ANSWER -Exposure to due to the fact it does not require general
cold environmental temperatures. anesthesia and less invasive due to being
- inserted with endoscopic visualization through
the esophagus into the stomach and then pulled
TSH influences the amount of thyroxine secretion through a small incision in the abdominal wall
which increases the rate of metabolism to and held in place by a tiny plastic device called a
maintain body temperature near normal. "bumper" that holds the g-tube in place inside the
Prolonged exposure to cold environmental stomach and a small water-filled balloon which
temperatures stimulates the hypothalamus to keeps the stomach in place against the
secrete thyrotropin-releasing hormone, which abdominal wall.
increases anterior pituitary serum release of
TSH.
Which sexually transmitted infection (STI) should
the nurse include in a client's teaching plan about
An older female client is admitted with atrophic the risk for cervical cancer? - ANSWER -
vaginitis and perineal cutaneous candidiasis. Human papillomavirus.
What is the priority nursing diagnosis for this -
client? - ANSWER -Impaired comfort. According to the CDC (2017), it is estimated at
- least 80% of all women who are sexually active
will contract the Human papillomavirus (HPV) in
In menopausal women, the vaginal mucous their lifetime. Certain types of HPV have been
membrane responds to low estrogen levels suspected to cause cervical cancer and HPV
causing the vaginal walls to become thinner, strain 16 and 18 have been identified to cause
drier, and susceptible to infection which leads to 70% of cervical cancers.
atrophic vaginitis. Perineal cutaneous candidiasis
contributes to other manifestations of vaginal
infections, such as vaginal irritation, burning, The home health nurse is assessing a client with
pruritus, increased leukorrhea, bleeding, and terminal lung cancer who is receiving hospice
dyspareunia, which supports the primary nursing care. Which activity should be assigned to the
diagnosis, "Impaired comfort". hospice practical nurse (PN)? - ANSWER -
Administer medications for pain relief, shortness
of breath, and nausea.
The nurse is caring for a client scheduled to -
undergo insertion of a percutaneous endoscopic
gastrostomy (PEG) tube. The client asks the Hospice care provides symptom management
nurse to explain how a PEG tube differs from a and pain control during the dying process and
gastrostomy tube (GT). Which explanation best enhances the quality of life for a client who is
describes how they are different? - terminally ill. Administering medication and
ANSWER -Method of insertion. monitoring for therapeutic and adverse effects is
- within the scope of practice for the PN.
The best explanation of how a PEG tube differs
from a GT is by the method of insertion. GT The nurse is assessing a client with a chest tube
insertion involves making an incision in the wall that is attached to suction and a closed drainage
of the abdomen and suturing the tube to the system. Which finding is most important for the
